| Douglas Harley Slater, MD | |
|
1250 E Michigan Ave, Grayling, MI 49738-7074 | |
| (989) 348-0550 | |
| (989) 348-6749 |
| Full Name | Douglas Harley Slater |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 40 Years |
| Location | 1250 E Michigan Ave, Grayling, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134152382 | NPI | - | NPPES |
| 2982265 | Medicaid | MI | |
| 3389713 | Medicaid | MI | |
| 4120160 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301406865 (Michigan) | Secondary |
| 208000000X | Pediatrics | 4301406865 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Munson Medical Center | Traverse city, MI | Hospital |
| Munson Healthcare Grayling Hospital | Grayling, MI | Hospital |
| Kalkaska Memorial Health Center | Kalkaska, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grand Traverse Physician Services Pc | 2466963806 | 122 |
| Sound Inpatient Physicians-michigan Pllc | 5395896849 | 238 |
| Entity Name | Hospitalist Medicine Physicians Of Michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013180181 PECOS PAC ID: 4486703170 Enrollment ID: O20090529000290 |
| Entity Name | Sound Inpatient Physicians-michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639311996 PECOS PAC ID: 5395896849 Enrollment ID: O20090624000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Harley Slater, MD 1250 E Michigan Ave, Grayling, MI 49738-7074 Ph: (989) 348-0550 | Douglas Harley Slater, MD 1250 E Michigan Ave, Grayling, MI 49738-7074 Ph: (989) 348-0550 |
Matthew Scott Rettke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1250 E Michigan Ave, Grayling, MI 49738 Phone: 989-348-0550 Fax: 989-348-0473 |